| NPI | 1518054998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY S. TRAUB Director 954-783-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7394) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY3620) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2016-03-30 |